NUR201 EXAM - MATERNAL/INFANT
DOB - verified answer date of birth
EDB - verified answer estimated date of birth
Nagele's Rule - verified answer 1st day of LMP + 7 days - 3 months + 1 year = EBD
OR
1st day of LMP + 7 days + 9 months = EBD
example:
April 15, 2019 = January 22, 2020
March 6, 2020 = December 13, 2020
LMP - verified answer last menstrual period
GTPAL - verified answer gravida, term births, preterm births, abortions, living children
Gravida (GTPAL) - verified answer number of times pregnant including current pregnancy
primigravida - first pregnancy
multigravida - more than one pregnancy
Term Births (GTPAL) - verified answer number of term births
37 + weeks
preterm births (GTPAL) - verified answer number of preterm births
between 20 weeks - 36 weeks + 6 days
twins can be counted as one or two
,Abortions (GTPAL) - verified answer number of abortions or miscarriages
under 20 weeks
Living Children (GTPAL) - verified answer number of living children
G/P - verified answer gravida/para
gravida - number of pregnancies
para - number of births at 20+ weeks regardless of dead or alive
this method does not provide nearly enough info so not commonly used !
BUBBLLEE - verified answer Breasts- firmness, nipples (intact/lacerated)
Uterus: Fundus (locaxn, consistency)
Bladder
Bowel
Lochia: rubra, serosa, alba (bleeding which comes from vag after birth)
Legs: peripheral edema
Episiotomy/ Incision
Emotional response
a nurse is assessing for urinary retention should intervene if the client has not voided within how
many hours after childbirth?
a. 2
b. 5
c. 8
d. 12 - verified answer c. 8
, What is the priority nursing action for a woman with a 4th degree perineal laceration?
A) Provide prescribed oral pain medication and stool softener.
B) Encourage warm sitz baths 2 to 3 times daily.
C) Apply perineal ice packs consistently for the first 24 hours.
D) Teach proper and frequent use of the peri-bottle. - verified answer C) Apply perineal ice packs
consistently for the first 24 hours.
The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells the
nurse, "Wait..." Which response what be best for the nurse to make? - verified answer Explore
mother's concerns about infant receiving vitaK
The nurse is discussing the stages of labor with a group of women in the last month of pregnancy
and provides examples of different positional techniques used during the second stage of labor.
Which position should the nurse address that provides the best advantage of gravity during delivery?
a. Lithotomy.
b. Kneeling.
c. Squatting.
d. Walking. - verified answer c. Squatting
helps to align the fetus with the pelvic outlet and allows gravity to assist in fetal descent and gives
the client an adventitious position for birth.
A primigravida at 12-weeks gestation who just moved to the United States indicates she has not
received any immunizations. Which immunization(s) should the nurse administer at this time?
(Select all that apply.)
Hepatitis B.
Chickenpox.
Rubella.
Tetanus.
Diphtheria. - verified answer Tetanus.
Diphtheria.
Hepatitis B.
DOB - verified answer date of birth
EDB - verified answer estimated date of birth
Nagele's Rule - verified answer 1st day of LMP + 7 days - 3 months + 1 year = EBD
OR
1st day of LMP + 7 days + 9 months = EBD
example:
April 15, 2019 = January 22, 2020
March 6, 2020 = December 13, 2020
LMP - verified answer last menstrual period
GTPAL - verified answer gravida, term births, preterm births, abortions, living children
Gravida (GTPAL) - verified answer number of times pregnant including current pregnancy
primigravida - first pregnancy
multigravida - more than one pregnancy
Term Births (GTPAL) - verified answer number of term births
37 + weeks
preterm births (GTPAL) - verified answer number of preterm births
between 20 weeks - 36 weeks + 6 days
twins can be counted as one or two
,Abortions (GTPAL) - verified answer number of abortions or miscarriages
under 20 weeks
Living Children (GTPAL) - verified answer number of living children
G/P - verified answer gravida/para
gravida - number of pregnancies
para - number of births at 20+ weeks regardless of dead or alive
this method does not provide nearly enough info so not commonly used !
BUBBLLEE - verified answer Breasts- firmness, nipples (intact/lacerated)
Uterus: Fundus (locaxn, consistency)
Bladder
Bowel
Lochia: rubra, serosa, alba (bleeding which comes from vag after birth)
Legs: peripheral edema
Episiotomy/ Incision
Emotional response
a nurse is assessing for urinary retention should intervene if the client has not voided within how
many hours after childbirth?
a. 2
b. 5
c. 8
d. 12 - verified answer c. 8
, What is the priority nursing action for a woman with a 4th degree perineal laceration?
A) Provide prescribed oral pain medication and stool softener.
B) Encourage warm sitz baths 2 to 3 times daily.
C) Apply perineal ice packs consistently for the first 24 hours.
D) Teach proper and frequent use of the peri-bottle. - verified answer C) Apply perineal ice packs
consistently for the first 24 hours.
The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells the
nurse, "Wait..." Which response what be best for the nurse to make? - verified answer Explore
mother's concerns about infant receiving vitaK
The nurse is discussing the stages of labor with a group of women in the last month of pregnancy
and provides examples of different positional techniques used during the second stage of labor.
Which position should the nurse address that provides the best advantage of gravity during delivery?
a. Lithotomy.
b. Kneeling.
c. Squatting.
d. Walking. - verified answer c. Squatting
helps to align the fetus with the pelvic outlet and allows gravity to assist in fetal descent and gives
the client an adventitious position for birth.
A primigravida at 12-weeks gestation who just moved to the United States indicates she has not
received any immunizations. Which immunization(s) should the nurse administer at this time?
(Select all that apply.)
Hepatitis B.
Chickenpox.
Rubella.
Tetanus.
Diphtheria. - verified answer Tetanus.
Diphtheria.
Hepatitis B.
